Greenhill Gillian A, Kennedy D W G, Evans A
Department of Oral and Maxillofacial Surgery, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK.
Br J Oral Maxillofac Surg. 2012 Jan;50(1):e9-10. doi: 10.1016/j.bjoms.2011.06.006. Epub 2011 Jul 23.
Giant cell arteritis is a systemic, inflammatory, and vascular syndrome that requires early diagnosis and immediate management because of the risk of loss of vision. Local symptoms include headache, scalp tenderness, jaw claudication, visual disturbances, and scalp necrosis. Systemic symptoms include weight loss, fever, malaise, fatigue, and polymyalgia rheumatica. We describe a case that was identified histologically as an incidental finding after excision of a basal cell carcinoma from the parietal area of the scalp. A search of PubMed and Medline using the keywords "giant cell arteritis", and "incidental histopathological diagnosis" returned no similar previously published cases in the head and neck. We present this as an unusual and interesting case.
巨细胞动脉炎是一种全身性、炎症性血管综合征，由于存在视力丧失风险，需要早期诊断并立即进行治疗。局部症状包括头痛、头皮压痛、颌部间歇性运动障碍、视觉障碍和头皮坏死。全身症状包括体重减轻、发热、不适、疲劳和风湿性多肌痛。我们描述了一例在从头皮顶叶区域切除基底细胞癌后经组织学检查偶然发现的病例。使用关键词“巨细胞动脉炎”和“偶然组织病理学诊断”在PubMed和Medline上进行检索，未发现头颈部以前发表过的类似病例。我们将此作为一个不寻常且有趣的病例进行展示。
